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19 Cards in this Set

  • Front
  • Back
CONTUSION
RUPTURED SMALL BLOOD VESSELS BLEEDING INTO SOFT TISSUES RESULTING FROM A BLUNT FORCE.
STRAIN
STRETCHING JURY OF MUSCLE OR MUSCLE-TENDON UNIT
MUSCLES FORCED PAST ITS ELASTICITY
STRAIN MANIFESTATIONS
MANIFESTATIONS:
PAIN
LIMITED MOTION
MUSCLE SPASMS
SWELLING
MUSCLE WEAKNESS
SPRAIN
STRETCH/TEAR OF LIGAMENTS FROM OPPOSING FORCES
SPRAIN MANIFESTATIONS
MANIFESTATIONS:
DECREASE OF JOINT FUNCTION
FEELING OF "POP" OR TEAR
DISCOLORATION
PAIN
RAPID SWELLING
R.I.C.E. THEREPY OF MUSCULOSKELETAL INJURIES
REST
ICE
COMPRESSION
ELEVATION
REST CLIENT/FAMILY EDUCATION
▼ ADLS AND EXERCISE AS TOL.
NWB PER MD ORDERS
CRUTCHES IF NWB
CANE/CRUTCH ON UNINJURED SIDE TO LEAN WEIGHT AWAY FROM INJURY
ICE CLIENT/FAMILY EDUCATION
APPLY ICE TO SITE FOR 2OMIN/4-8 TIMES A DAY

ICE BAG, COLD PACK, PLASTIC BAG FILLED W/ ICE, OR BAG OF FROZEN PEAS MAY BE USED

IF >20MIN-> COLD INJURY OR FROSTBITE
COMPRESSION CLIENT/FAMILY EDUCATION
HELPS REDUCE SWELLING. METHOD OF CHOSEN BY MD

EX.- ACE BANDAGES, SPECIAL BOOTS, AIR CASTS, SPLINTS
ELEVATION
INJURED EXTREMITY ▲ HEART TO REDUCE SWELLING/PAIN
DISLOCATION
ENDS OF BONES FORCED FROM NORMAL POSITION
SUBLUXATION
BONE ENDS IN PARTIAL CONTACT WITH NORMAL POSITION
SPRAIN/STRAIN

NURSING DX
ACUTE PAIN
IMPAIRED PHYSICAL MOBILITY
SPRAIN/STRAIN

NURSING INTERVENTIONS
TEACH RICE

TEACH PROPER TECHNIQUE OF ASSISTIVE TOOLS-walkers, canes, crutches, slings

ENCOURAGE FOLLOW UP CARE
DISLOCATION MANIFESTATIONS
PAIN
DEFORMITY
LIMITED MOTION
DISLOCATION NURSING

DX AND INTERVENTION
RISK FOR INJURY

MONITOR NEUROVASCULAR STATUS- 5 "P's"

MAINTAIN IMMOBILIZATION
DISLOCATION EDUCATION
COMPLIANCE TO IMMOBILIZE
SKIN CARE, NO SKIN TO SKIN
REHAB ▼ REOCCURANCE
ALTERNITIVES TO CAUSING ACTIVITIES
P.T. FOR ASSISTIVE DEVICES
PT/OT AND HHS PRN
FRACTURES:
1.CLOSED
2.OPEN
3.OBLIQUE
4.SPIRAL
5.AVULSED
6.COMMINUTED
7.COMPRESSED
8.IMPACTED
9.DEPRESSED
10.COMPLETE
11.UNSTABLE
_AT ANGLE TO BONE
_BREAKS IN MANY PLACES
_BONES MOVE OUT OF ALIGNM
_SKIN IS INTACT
_UNATTACHES BONE/TISSUE
_FORCED INWARD
_ENDS FORCED INTO EACHOTHER
_INJURED SKIN INTEGRITY
_BONE IS CRUSHED
_WHOLE WIDTH OF BONE
_CURVES AROUND BONE


BACKWARDS 4/10/7/2/8/9/5/1/11/6/3
COMPARTMENT SYNDROME
▲PRESSURE CONSTRICTS CIRCULATION TO MUSCLES AND NERVES OF STRUCTURES IN ENCLOSED SPACE